Accurate capture of patient details is perhaps one of the most under-rated processes in the revenue cycle process chain. Not only does the data captured in the demographic entry process form the base for the medical record, but it also affects insurance claims payment. Error-free capture of patient information is essential for clean claim submission and facilitates quick claims processing by Payers.

The front-office at the place of service should accurately capture the patient information, either via paper-based registration processes or via the scheduling system. Accurate information about the patient is critical to ascertain the patient's eligibility and benefits, obtaining prior authorization, and error-free claims filing. Additionally, population health analytics is possible only by utilizing accurate patient information.

Details captured in the Patient Registration / Patient Demographics Entry process

At Medical Billing Wholesalers, we have trained our team of revenue cycle professionals to validate all information available in the face-sheets. Our team contacts the provider's office or the medical billing company if any information is incomplete or erroneous in case of any discrepancies. Our team members enter the validated data on the client's practice management software with a high degree of accuracy and within a turnaround time of 24-48 hours. We review and update the following information on the practice management system:

Demographics information

• Patient's legal name, age, gender, address, phone numbers
• Patient's social security number for identification

Healthcare Insurance Information

• Payer information (name of the Payer, mailing address for claims, and group and policy numbers)
• Details of secondary as well as primary Payers
• Medicaid or Medicare card (if the patient receives federal or state assistance)

Medical Information

• Allergies if any
• Special requirements (interpreter, assistance for physically disabled people, medications, Ambulance, stretcher access, etc.)

Payment information

• Name, address, and telephone number of the person who will be responsible for payments

Impact of Inaccurate capture of Patient information

Inaccurate capture of the Patient information could result in:

• Increased claim denials and delayed payments. Incorrect details captured cause rework as the clearinghouse systems, and the payer claims adjudication platforms may reject the claims. As a result, delays in obtaining payment or losses on account of unpaid claims can occur.

Inaccuracies in Population Health Analytics. Identification of the right population segments based on demographics data is the anchor for Population health analytics

Benefits offered by our Patient Demographics team

Did you know that medical practices bleed as much as 7% of their annual revenue due to errors in patient demographics capture?

Accurate Entry of patient information results in timely reimbursements and reduces the days in A/R, besides reducing rework. Our Patient Registration team receives training to spot errors in the Patient Registration process and work collaboratively with you and your practice clients to:

• Save over 40% in operational costs
• In-house Patient Registration Services can be costly. Our team members based in India pick up the work queues and process each Patient Record diligently.
• Improve Productivity and Accuracy
• With guaranteed service levels on accuracy and turnaround time, you can rest assured that the work performed by our team members is of a high degree of quality.
• Reduce Claim Denials, Improved Clean Claim Submission
• Improvement in the Patient Registration process quality leads to an improvement in first-pass rates and, consequently, results in a lesser number of claim denials.
• Accelerated cash flow is, naturally, a by-product of the underlying patient registration processes.
• Account Management and Collaboration
• Our account management team works with you to improve the Patient Registration process's overall efficiency and effectiveness. The team coordinates with you through real-time portals, daily status reporting of the quality, and turnaround time. We duly reconcile each account so that the front and backend processes in the revenue cycle chain do not get impacted due to any lapses in the process.
• Software proficiency
• Medical Billing Wholesalers is proficient in over 20 different practice management systems including Kareo, eClinicalWorks, Advanced MD, EPIC, GE Centricity, Cerner, Athenahealth, All Scripts, Dr. Chrono, NextGen, Practice Fusion, iSalus, NextTech, Heno, Synergy MD, ContaMed, Office Ally, Care Cloud, PrognoCIS, etc.
• Medical Coding and Charge Entry.
• The Patient Registration Process is often clubbed with Medical Coding and Charge Entry Processes, depending on the software functionality. At times, the process is performed by medical coders directly. At Medical Billing Wholesalers, we have a team of proficient medical coders who can complete charge entry across medical specialties and perform patient registration processes effectively.